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Services
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General Revenue Program
Community MHMR Centers are designated as local Mental
Retardation Authorities (MRAs). The MRA serves as the point of entry for
publicly funded mental retardation programs whether publicly or privately
operated. In addition, MRAs provide or contract to provide an array of services
for persons in the mental retardation priority population with general revenue
funds.
Community Support
Services and supports provided in a client’s home and at other community
locations to assist the client to achieve desired outcomes identified in the
annual Person Directed Plan.
- Face to face contact in the consumer’s home or at other community
locations
- Face to face contact with family necessary to achieve identified
outcomes
- Transportation assistance
- Habilitation activities, such as training in self help and independent
living skills, implementation of programs developed by a licensed therapist,
or implementation of programs to develop appropriate social behaviors
- Assistance with medications and the performance of tasks delegated by a
Registered Nurse in accordance with Texas state law
Respite
Supports provided for the planned or emergency short-term relief of the unpaid
caregiver of a consumer when the caregiver is temporarily unavailable to provide
supports due to non-routine circumstances.
- Assistance with activities of daily living such as grooming, eating,
bathing, dressing and personal hygiene
- Assistance with functional living tasks, assistance with planning and
preparing meals, securing transportation, ambulation and mobility,
reinforcement of behavioral support of specialized therapy activities,
medications and the performance of tasks delegated by a registered nurse in
accordance with state law, and the supervision of the consumer’s safety and
security
- Limited nurse services authorized for the purpose of provider training
or specialized service
- Habilitation activities to facilitate inclusion in community activities,
use of natural supports and typical community services available to all
people, social interaction and participation in leisure activities and
development of socially valued behaviors and daily living and functional
living skills
Employment Assistance
Individualized service to help locate paid employment in the community.
- Assist identifying job preferences, skills, and requirements for the
work setting and work conditions
- Assist identifying prospective employers offering employment compatible
with identified preferences, skills and requirements
- Contact support network to facilitate employment
- Contact prospective employers and negotiate on behalf of the consumer
Individualized Competitive Employment
(Supported Employment)
Employment in an integrated setting with on-going individualized support
services. Employer must be in accordance with the Fair Labor Standards Act in
compensation.
- Training, supports, or interventions related to sustaining employment
provided directly to the consumer while on-the-job by a program provider
staff or contractor
- Contact employer supervisor on behalf of the consumer to sustain
employment
Nursing
Treatment and monitoring of health care procedures prescribed by physician or
medical practitioner or required by standards of professional practice or state
law to be performed by licensed nursing personnel.
- Face-to-face or telephone contact with the individual to provide nursing
care, health condition monitoring/assessment, and/or medication
administration and monitoring
- Face-to-face or telephone contact with a collateral (i.e., family
member, other health care providers or service providers (excluding service
coordinators and licensed/certified staff employed/contracted by the program
provider) regarding the health/medical condition of the individual and/or
any training related to their health/medical condition
- Nursing is provided by a nurse who is currently: Licensed as a
registered nurse (RN) by the Board of Nurse Examiners of the State of Texas;
or
- Nursing services and supports are provided based on established and
documented medical needs as specified in the Plan of Services and Supports
that is in place at the time the service was delivered.
Optional activities:
- Participation in service planning team meetings
- Face-to-face or telephone contact with a physician (including a
psychiatrist) regarding the health/medical condition of the individual
Consumer Eligibility
Consumers must be: Persons assessed through MRA and
considered eligible for programs through DADS; and Part of DADS mental
retardation priority population, which consists of individuals who meet one or
more of the following descriptions:
o Persons with mental
retardation, as defined by Texas Health and Safety Code Section 591.003;
o Persons with
pervasive developmental disorders, as defined in the current edition of the
Diagnostic and Statistical Manual, including autism;
o Persons with related
conditions who are eligible for services in Medicaid programs operated by DADS,
including the ICF/MR and waiver programs;
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Nursing facility residents who are eligible for
specialized services for mental retardation or a related condition pursuant to
Section 1919(e)(7) of the Social Security Act; or
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Children who are eligible for services from the
Early Childhood Intervention Interagency Council.
How to Apply for Services
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